So are you talking about some sort of sensory feedback for the athletes to feel the medial heel?

Okay. Read Annie Duke's book. Thinking in Bets. If anybody's looking for a book to read, Thinking in Bets, where you start to understand how probability works, because that's how we have to do everything. We do not know the answers. You get better with time and experience. So the experience is what allows you to manage probabilities better. When you're young and you think you're an idiot, you are an idiot—not that you're an idiot, idiot. It's just that you don't have the time served to help you manage probabilities, okay? So I'm not being insulting. I'm just making a point because I am an idiot as well. All you gotta do is look at my patient treatment this past week. I'm an idiot. But you have to learn how to manage the probabilities. And so by repeated exposures, paying attention, observing, you start to say, oh, this kind of goes with this, and this kind of goes with this, and this kind of goes with this. And so when I do these things for this circumstance, I tend to get a good outcome. So like I said, 82% of the time, you're going to be right. 18% of the time, you could be absolutely wrong. Both probabilities are always in play. It's just that the idea is, I'm more successful more often than I was before. That's how you get better. But you got to recognize that now. Let the frustration drive you for sure. If necessity is the mother of invention, then frustration is the father of progress. Jerry Meadows. One of my favorite quotes. So, you know, not knowing is normal. Uncertainty is normal. That's the hard part. You got to get past that. You just keep doing. Don't hurt people. Do your safe experiments. And then that's how you move forward.

Yes, it is. Understood.

Yeah.

So it is a learned process. Heavy strength training requires creating internal pressure to push upward. Using a squat as an example, the squat magnifies the downward load on the body. To lift it back up, you must squeeze harder and harder. The muscles on the outside of the body magnify the ability to squeeze and create internal pressure, providing a rigid structure to lift the load. This requires taking away ranges of motion and directing force primarily in one direction, as multiple available ranges would dissipate force. This limits how much weight you can lift. Strength training teaches you how to do this to whatever degree that influence predominates. For those who are more extreme, like powerlifters or Olympic lifters, this is seen more often than in athletes like baseball players, although it does appear in baseball as well since they are trained and produce forces similarly, just to a lesser degree.

I'm not that smart, so I got to use simple mechanics.

Yes, you too.

Yes, sir. So my first question is that you had said that young Bill Hartman was very stubborn and arrogant. And he used to think that he knows it all. And now, after all these years of professional experience, you say that you just got lucky. It's all a game of probability, and you have such an incredible model to your name. So how did life teach you this? How did you arrive at this stage? And what drives you every day? With so many years of experience, what drives you every day to wake up? To learn, upgrade your model, and to constantly work?

So there, oh yes, it's yielding. It's more yielding and it's very distributed because you think about it. It's like, I got the med ball in my hands. So I have to translate the energy from the med ball all the way through my system into the ground. So I'm dampening very, very broadly.

Let's talk about this overhead thing. Not everybody has the capacity to reach overhead. So chasing that might be a bad idea. It doesn't mean that we can't perform activities where the arm is elevated. It just means that we are going to have to respect what their capabilities are. And now we're getting into what kind of a compressive strategy becomes a limiting factor under those circumstances.

but it's still a tough pill to swallow sometimes. You get into this field to help, and it's tough when you can't or you're not getting the desired outcome that you want.

Right? Yeah. So even if my humerus is flexing traditionally and adducting and my rib cage doesn't appear to be moving, the rib cage is still moving but it's moving at an even slower rate than my arm is. Absolutely a thousand percent, you totally get it.

Well, if that's what you're doing, then you are on target. Yes. Sometimes you just need more stuff.

So give me, give me, give me a, for instance, so, so we can be really specific about this then.

Right, right. And those happen very sporadically for me.

Compressed posteriorly would be. And expanded anteriorly.

So again, it's like, where do you want to take these people and then use something that is familiar? Because if you just speak in unfamiliarities, nobody cares.

So a developmental, like a lower level of developmental athlete. Okay. What do we need to know? We're talking baseball. So we're going to skew this towards male. Okay. Where do his parents work? With income, right? They've got the disposable income. What do his parents do for work?

When you piece it together yourself and you struggle a little bit and you fail miserably a number of times with yourself or with clients safely, don't hurt them. Don't hurt them. That's where you're going to really start to piece together. I've been waiting for this question. Let's talk about why herniated discs are actually an early propulsive problem. Good morning. Happy Tuesday. I have neuro coffee in hand and it is perfect. Okay. Busy Tuesday. Clinic day. Got to get rolling. Let's dig into today's Q&A. This one comes from Zach. And Zach, this is going to be a great question because I've been waiting for this one. Because I think I got a pretty good explanation. At least something that's useful. And so Zach says, I was wondering if you could explain through your model why someone might present with a directional preference in the case of low back pain with radiculopathy example, peripheralization with flexion and centralization with extension or vice versa, or someone who doesn't centralize with either. We were always just taught that this could occur, but it was never paired with a rationale as to why people present differently. Also, how would your treatment strategies change based off of someone's directional preference? Or does your model already account for this in some way and the need to consider the directional preference becomes less important? Thanks as always. Zach, great question. Okay, so we're kind of talking about stuff that's related that we'll see related to disc herniations, radiculopathies, referred pain, things like that. So let's talk about that first and foremost. So how does this whole disc thing come into play? How do we evolve a herniation? So what we want to start to think about is, okay, so we have a change in the disc and how does that happen? And so what we have to do is we have to have some way to change the disc. And if we look at this, they don't have great blood supply, so they are very reliant on the bone, the subchondral bone, very specifically as to where they're going to get their groceries, their water, and their oxygen. And so we're going to get diffusion from the subchondral bone of all these nutrients into the disc. That's how the disc is going to remain healthy. But let's say that we squish down on this blood supply in some way shape or form. So let's just say, oh, I don't know. We have an anterior orientation that puts a posterior compressive strategy on the vertebral body. And we now have a reduction in blood flow to that posterior aspect of the disc. So the disc is your basic radial tire kind of a representation. So we've got multiple layers. We've got helical orientation of fibers going in all different directions.

Yeah, exactly. So do I have that? Good. Step one, I know I've got somebody that's got a potential for high force production or a good exhalation strategy at least. I put him under the bar and we're doing lockouts, but he can't get his elbows to lock out. He can't do it. All right. What does that tell you in regards to the position that is required to access the lockout? Knowing now that you need internal rotation and pronation to access that. If you can't lock his elbows out, what's the limiting factor?

Oh, yeah.

So again, if I get a dissenting opinion that I don't agree with and I recognize that they're just not fully informed or they're ignorant or they're naive or they're just merely reacting emotionally, I can still use that to my advantage. I can still leverage that information. to allow me to check my own work or allow me to identify it. Is there a gap in my reasoning? Is there a gap in my thinking? So I do take those things into consideration, but the goal is to not react emotionally because once you do that, then you're immediately blocked from accepting any new information. Get comfortable with the gray areas. Get comfortable with not knowing and understanding that the complexity that we deal with reduces our ability to predict things and so we're always playing off of probabilities but our experience and time and influences allow us to narrow those probabilities over time and that's how we get better. I have friends that are really really smart really creative thinkers And then I have also friends that are not in the same environment that I work in. And so I consider them my naive experts. So they're really, really smart people. And if I ask them questions, they can ask the questions that I wouldn't even think to ask. And so that becomes very, very valuable to have people like that. I share information. a great deal because I want the opposing viewpoints. I don't need yes men. I just need people that are good thinkers that have other viewpoints and other experiences because I can't know everything. I can't be involved in every environment and so I can't have all the answers but other people have other answers that might be assisting me in evolving my model. Ultimately, what I look for when I'm trying to overcome these things is I'm looking for consistencies. So when I intervene or when I'm evolving a process or I'm asking questions, I'm looking for the consistency in the outcome because that's the closest thing that I can probably get to truth and reality. So when I see that consistency, those are the things that I start to reinforce that in my model to some degree. But this is what science is. So this is where we do the experiment. So we experiment, we see what happens. We experiment, we see what happens. The more times you see the same thing arising. So when I see that consistency, those are the things that I start to intertwine and contribute to the evolution of the model. And then finally, what I would say is, remain patient. You've got time to evolve a model. But I say patience with a sense of urgency. So it's kind of like the duck on the pond. You know, you see the duck smoothly going across the water, but underneath he's kicking like crazy.

And so the management strategy is really not all that different, right? I want to make sure that I have excursion, right? So when you think about, okay, what is it going to take for this tissue to recover? It needs movement, it needs blood flow. So if I have a restriction in my movement capabilities, that would imply that I have tension, which reduces blood flow. So that's why I want to make sure that I'm restoring full excursion of my rotations, right? So full excursion from internal to external rotation, which implies that I have full excursion of breathing. Some of your manual strategies, what do they do? They alter the shape of the structure. The protein structure can change shape and that will allow access to oxygen, nutrients, et cetera, that promotes the natural healing.

Thanks, man.

You should express who that is.

No, I just appreciate you taking the time to do it. I didn't know if you were going to have time today, because it was like, I'll see what I can do. So I was kind of on standby. But I'm glad you made time, and I appreciate it.

Is that it? Yeah, I'm still pondering. What I would do in that is I would start rolling around on the ground and I would start working on your Taekwondo forms again. Good morning. Happy Thursday. I have neural coffee in hand and it is perfect.

Internal rotation.

They can't get the big toe to the ground?

And then if he's actively trying to maintain the arch, again, is that a, is that an early IRD foot?